CGRN Patient Assessment and Monitoring 2

Question 1

Which assessment finding would most likely lead to a higher ASA physical status classification?

Accepted Answer

Severe COPD requiring home oxygen

Answer

Severe COPD requiring home oxygen represents ASA III or higher, impacting sedation planning.

Question 2

During moderate sedation, which Ramsay Sedation Scale level indicates the target depth?

Accepted Answer

Level 3 — responds to commands only

Answer

Ramsay level 3 represents appropriate moderate sedation where the patient is sedated but maintains protective reflexes.

Question 3

A patient with a Mallampati score of IV is scheduled for upper endoscopy. What does this indicate?

Accepted Answer

Potentially difficult airway management if intervention is needed

Answer

Mallampati IV (only hard palate visible) indicates a potentially difficult airway.

Question 4

What is the minimum monitoring requirement during the recovery phase after moderate sedation?

Accepted Answer

Vital signs every 5 minutes until discharge criteria are met

Answer

Post-procedure monitoring should include vital signs at least every 5 minutes until discharge criteria are met.

Question 5

Which laboratory value is most important before endoscopic variceal band ligation?

Accepted Answer

Platelet count and INR/coagulation studies

Answer

Platelet count and coagulation studies are essential to assess bleeding risk in patients with portal hypertension.

CGRN - Certified Gastroenterology Registered Nurse Practice Test